This paper covers 14 principles and values, rooted in the fundamental moral ideals of the American nation, that can guide policy decisions and choices about health care reform. They are useful not only in debates about changes and proposed reforms of the health care system and in attempts to reach consensus on them, but also as the performance of the health care system is assessed over time and refined.
President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research.Securing Access to Health Care. Washington, DC: U.S. Government Printing Office; 1983.
2.
DoughertyC.Ethical Values at Stake in Health Care Reform. JAMA.1992;268:2409–2412.
3.
PriesterR.A Values Framework for Health Systems Reform. Health Aff.1992;11(1):84–107.
4.
NagelT.The Fragmentation of Value. In Mortal Questions.Cambridge: Cambridge University Press; 1979.
5.
DanielsN.Just Health Care. Cambridge: Cambridge University Press; 1985.
6.
President's Commission on the Health Needs of the Nation. Washington, DC: U.S. Government Printing Office; 1953:3.
7.
HadornD.Setting Health Care Priorities in Oregon: Cost Effectiveness Meets the Rule of Rescue. JAMA.1991;265:2218–2225.
8.
EddyD.Oregon's Methods: Did Cost-effectiveness Fail?JAMA.1991;266:2135–2141.
9.
DanielsN.Insurability and the HIV Epidemic: Ethical Issues in Underwriting. Milbank Memorial Fund Quarterly: Health and Society1990;68(4):497–526.
10.
LightDW. The Practice and Ethics of Risk-related Health Insurance. JAMA.1992;267: 2503–2508.
11.
DanielsN.Am I My Parent's Keeper? An Essay on Justice Between the Young and the Old. Oxford: Oxford University Press; 1988.
12.
CallahanD.Setting Limits: Medical Goals in an Aging Society. New York: Simon and Schuster; 1987.
13.
CallahanD.What Kind of Life?New York: Simon and Schuster; 1989.
14.
MenzelP.Strong Medicine: The Ethical Rationing of Health Care. New York: Oxford University Press; 1990.
15.
BrockDW. The Problem of Low Benefit-High Cost Health Care. In Life and Death: Philosophical Essays in Biomedical Ethics.Cambridge: Cambridge University Press; 1993.
16.
WennbergJEFreemanJLSheltonRMHospital Use and Mortality Among Medicare Beneficiaries in Boston and New Haven. New Eng J Med.1989;321:1168–1173.
17.
EddyDM. Three Battles to Watch in the 1990s. JAMA.1993;270:520–526.
18.
HimmelsteinDUWoolhandlerS.Cost Without Benefit: Administrative Waste in U.S. Health Care. New Eng J Med.1986;314:441–445.
19.
McGinnisJMGeorgeWH. Actual Causes of Death in the United States. JAMA.1993;270: 2207–2212.
20.
WiklerD.Persuasion and Coercion for Health: The Government's Role in Changing Lifestyles. The Milbank Memorial Fund Quarterly: Health and Society.1978;56:303–338.
21.
DanielsN.Why Saying No to Patients in the United States is so Hard. New Eng J Med.1986;314:1381–1383.
22.
RodwinM.Medicine, Money, and Morals: Physicians' Conflicts of Interest. New York: Oxford University Press; 1993.
23.
JenningsB.A Grassroots Movement in Bioethics. Hastings Center Report. June/July 1988;18:S1–S16.
24.
WolfSM. Toward a Theory of Process. Law, Medicine, and Health Care.1992;20:278–290.
